Backgrounder posted October 15, 2015
2014 Health Insurance Enrollment: Increase Due Almost Entirely to Medicaid Expansion
Last year’s changes in health insurance enrollment are of particular interest, as 2014 was the year in which key provisions of the Affordable Care Act (ACA, or Obamacare) took effect—most notably, the offering of subsidies for coverage purchased through the new government exchanges and the ACA’s Medicaid expansion. Analysis of enrollment data for private health insurance…
Issue Brief posted March 20, 2015
2015 ACA-Exchange-Premiums Update: Premiums Still Rising
Health care premiums are continuing to rise in 2015. While the pace of change has slowed since the dramatic increases of 2014, the savings promised under the Affordable Care Act (ACA) have still not materialized.
Measuring changes in premiums is an important element in understanding the impact of the ACA. In previous analysis, The Heritage Foundation determined that the…
Backgrounder posted January 29, 2015
Q3 2014 Health Insurance Enrollment: Employer Coverage Continues to Decline, Medicaid Keeps Growing
During the third quarter (Q3) of 2014, enrollment in employer-sponsored coverage continued to decline, while Medicaid enrollment continued to grow. However, enrollment in individual-market plans—which substantially increased in both of the first two quarters—also declined by 357,000 during the third quarter. The net result was that total enrollment decreased by 160,000…
Backgrounder posted October 22, 2014
Obamacare’s Enrollment Increase: Mainly Due to Medicaid Expansion
With enrollment data now available for the second quarter of 2014, it is possible to construct a complete picture of the changes in health insurance coverage that occurred during the initial implementation of the Patient Protection and Affordable Care Act (PPACA), commonly known as Obamacare. The data show that in the first half of 2014, private health insurance…
Backgrounder posted July 28, 2014
New Obamacare Enrollment Data: Employer-Based Coverage Declines
The Department of Health and Human Services (HHS) issued a series of monthly reports on exchange performance during the initial open enrollment period (October 1, 2013, through March 31, 2014) for the Patient Protection and Affordable Care Act (PPACA), commonly known as Obamacare. However, the data HHS provided are insufficient for determining either the number of…
Issue Brief posted March 5, 2014
Compensation and Obamacare’s Impact on Low-Wage Workers
In February, the Congressional Budget Office (CBO) released a budget outlook that showed significant changes in the effect of Obamacare on the supply of labor. This led to a furious outcry from Obamacare proponents and critics. However, one additional bit of conversation seemed to get lost in the shuffle: The CBO clearly states that Obamacare will lower aggregate labor…
Issue Brief posted October 16, 2013
How Will You Fare in the Obamacare Exchanges?
There are literally no comparisons to current rates. That is, [the Department of Health and Human Services] has chosen to dodge the question of whose rates are going up, and how much. Instead they try to distract with a comparison to a hypothetical number that has nothing to do with the actual experience of real people.
President, American Action…
Issue Brief posted August 16, 2013
Medicaid Expansion and State-Level Evaluation in Virginia
Many states have conducted various versions of evaluation of the budgetary effects of expanding Medicaid. One state in particular that has participated in a rather robust analytical discussion is Virginia.
According to the Urban Institute, “Virginia exemplifies a state where public officials and private stakeholders have carefully analyzed multiple effects of the Medicaid…
Issue Brief posted March 11, 2013
The Affordable Care Act Negatively Impacts the Supply of Labor
Labor market distortions are common within the Patient Protection and Affordable Care Act (PPACA/Obamacare). Employers are faced with uncertainty at every turn. As observed from the recently released Federal Reserve beige book, this uncertainty restrains hiring.
While substantial attention has been given to the employer side, the employee side also experiences many…
Issue Brief posted September 7, 2012
State Lawmaker’s Guide to Evaluating Medicaid Expansion Projections
In its opinion on the Obamacare case, the Supreme Court found Congress exceeded its Constitutional authority by conditioning existing Medicaid funding on state adoption of the Medicaid expansion in Obamacare. The ruling effectively made the expansion optional.
Supporters of Obamacare, as well as some health care stakeholders—particularly hospitals and clinics—have…
Issue Brief posted August 30, 2012
Medicaid Expansion Will Become More Costly to States
Under the Supreme Court’s ruling on the Affordable Care Act (ACA), states may choose to expand their Medicaid populations to include individuals below 138 percent of the federal poverty level, with the federal government picking up 100 percent of payments for the first three years and then rolling back federal payments. This structure is designed to be attractive to the…
Issue Brief posted June 21, 2012
Health Reform and the Impact of Extending Dependent Coverage to Age 26
Advocates of Obamacare claim that it is insuring more people under the age of 26, an accomplishment for which they are quite proud. Just this week, a report from the Department of Health and Human Services cites even greater success. However, recent research shows that even with this provision, there are important, unrealized distortions and costs to the health care…